| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $75.86 | $89.13 | |
Aetna
| Professional | $66.07 | $85.11 | $147.91 | |
Ambetter
| Professional | $63.10 | $104.71 | $147.91 | |
Anthem BCBS
| Professional | $60.26 | $87.10 | $128.82 | |
CareSource
| Facility | $57.54 | $75.86 | $100.00 | |
CareSource
| Professional | $83.18 | $95.50 | $120.23 | |
Cigna
| Facility | $91.20 | $125.89 | $190.55 | |
Cigna
| Professional | $66.07 | $97.72 | $131.83 | |
United
| Professional | $77.62 | $97.72 | $144.54 |